FSL PROGRAMS: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
FSL PROGRAMS (EIN 86-0411904)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-02-15
IRS object ID
201120469349301232
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-02-15T16:54:55-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11850 N CENTRAL AVENUE SUITE 400AddressLine1
CityPHOENIXCity
StateAZState
ZIP Code850044527ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN860411904EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FSAL Programs IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFSALNameControl
Phone6022851800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11201 E THOMAS ROADAddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85014ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID PADDISONName
TitleCFOTitle
Phone6022851800Phone
Date Signed2011-02-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDan DiPomazio CPAName
Phone6022645844Phone
Date Prepared2011-02-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGuy MikkelsenNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11201 E THOMAS ROADAddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85014ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11561089GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web SiteWWW.FSL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1980YearFormation
State Legal DomicileAZStateLegalDomicile
Activity Or Mission DescriptionPROVIDE PROGRAMS AND SERVICES FOR SENIOR ADULTS, PERSONS WITH DISABILITIES, AND THEIR FAMILIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees322TotalNbrEmployees
Total Nbr Volunteers378TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1375527ContributionsGrantsPriorYear
Contributions Grants Current Year1107573ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11658642ProgramServiceRevenuePriorYear
Program Service Revenue CY10445831ProgramServiceRevenueCY
Investment Income Prior Year77628InvestmentIncomePriorYear
Investment Income Current Year7685InvestmentIncomeCurrentYear
Other Revenue Prior Year3343OtherRevenuePriorYear
Other Revenue Current Year-52OtherRevenueCurrentYear
Total Revenue Prior Year13115140TotalRevenuePriorYear
Total Revenue Current Year11561037TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7396458SalariesEtcPriorYear
Salaries Etc Current Year6907492SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5924523OtherExpensePriorYear
Other Expenses Current Year5874625OtherExpensesCurrentYear
Total Expenses Prior Year13320981TotalExpensesPriorYear
Total Expenses Current Year12782117TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-205841RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1221080RevenuesLessExpensesCY
Total Assets BOY3174409TotalAssetsBOY
Total Assets EOY3426968TotalAssetsEOY
Total Liabilities BOY2211638TotalLiabilitiesBOY
Total Liabilities EOY3249006TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY962771NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY177962NetAssetsOrFundBalancesEOY
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4804575Expense
Revenue4766991Revenue
DescriptionAdult Day Health Services provides medical services, therapeutic recreation, and social services during the day to seniors and adults with physical and cognitive impairments, or to anyone who cannot be left home alone safely during the day. ADHS focuses on maintaining or improving an individual's physical and/or mental functions to allow them to remain living at home for as long as possible while providing the caregivers with the necessary support system for themselves. In this fiscal year FSL's ADHS program served a total of 295,255 hours, over 252 days, to 760 unduplicated persons, the majority of which are on a fixed income.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1743332Expense
Revenue1905300Revenue
DescriptionCommunity Living Resources (CLR) is a compilation of services designed to help ensure the provision of quality care in Assisted Living Facilities, as determined by Arizona Long Term Care Services (ALTCS) Health Plans and the Arizona Department of Health Services. There are three classifications of licensed Assisted Living Facilities (ALF), each based on a maximum number of individuals licensed to be served in the facility: Foster Care (AFC) - 4Assisted Living Homes (ALH) - 10 Assisted Living Centers (ALC) - 10+2009-2010 Budget: $2,182,597Total number of contracted ALF's for three ALTCS Health Plans: 706Adult Foster Care - 80Assisted Living Homes - 558Assisted Living Homes - 68 Service components and data for FY 2010 include the following:Monitoring and Investigative Services provided on a contractual basis for three ALTCS Health Plans to ensure compliance with ADHS licensure regulations. Each home is monitored once per year to ensure compliance of ADHS regulations. Investigations are referred by contracted Health Plans and are dependent upon number of requests. Average number of Investigations per month is five. Total number of Monitoring Visits - 724Total number of Investigative Visits - 24Assisted Living Training is a certified training program approved by ADHS and Licensed by Arizona State Board for Private Postsecondary Education for caregivers and managers of Assisted Living Facilities. The Certified Caregiver training program is offered once per month for 74 hours. Total number of students who attended trainings during FY 2010 - 206.Adult Foster Care Home (AFC) ALTCS client billing CLR processes Sponsor Payments and acts as a Payee (SSI, SSA Checks), on behalf of two Health Plans, for residents who do not have a family member or POA and who reside in contracted AFC homes. Total number of PAYEE clients served - 20.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1632384Expense
Revenue1630922Revenue
DescriptionFSL Programs Home Health Agency is a Medicare Certified, State licensed program that provides intermittent medically necessary skilled nursing, therapy, social services and home health aide services that allow patients throughout the Phoenix Metropolitan Area to remain safely and comfortably at home. The FSL Programs, Home Care Program offers a variety of non medical services to include housekeeping, personal care assistance and, chore services all designed to increase or maintain one's ability to live safely in the community. Clients are typically elderly or physically challenged individuals who are on a fixed income and have no financial resources to assist them in paying for services. The Maricopa Home Care/Home Health Programs provided 20,280 home care units to 377 clients and 12,687 nursing and home health aide units to 534 clients.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense2788898Expense
Revenue2149698Revenue
DescriptionOther services to support and further the exempt purpose of the organization including home care agencies, nutrition centers and community social services.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp2788898TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev2149698TotalOfOtherProgramServiceRev
Total Program Service Expense10969189TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10969NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees322NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DAVID PADDISONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6022851800TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11201 E THOMAS ROADAddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85014ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Guy Mikkelsen
President2.00XX019666719484
Carolyn Hill
Vice President10.00XX011181511495
Blanca Ruiz
Treasurer5.00XX0902207363
John Hansen
Secretary6.00XX08004615430
David Paddison
Director/CFO6.00XX011542111382
Carrie A Smith
Chief of In-home services20.00X9996008227
Linda Martin
Vice President of Operatio19.00015864113062X
Joseph Switalski
Public Relations Director0.5001053840X
STEVE HASTINGS
DIR. OF REAL ESTATE SVS0.50012406116869X
FieldValueIRS element (for citing)
Total Reportable Comp From Org99960TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs982255TotalReportableCompFrmRltdOrgs
Total Other Compensation103312TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
FSL Management
1201 E Thomas RoadPhoenixAZ85014Management Fees979249
St Josephs Hospital Catering
350 W Thomas RdPhoenixAZ85013Food Supply Services452625
Sandra Baker
6811 W Villa TheresaGlendaleAZ85308In home care giving services232631
Melva Calvin
22831 S Recker RdGilbertAZ85298In home care giving services111022
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Fundraising Events1447FundraisingEvents
All Other Contributions1106126AllOtherContributions
Total Contributions1107573TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Government Contracts62300083672938367293
CLIENT FEES62300020079982007998
PROGRAM INCOME6230007054070540
FieldValueIRS element (for citing)
Total Program Service Revenue10445831TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column605TotalRevenueColumn
Exclusion$605ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other7080Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other7080Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column7080TotalRevenueColumn
Related Or Exempt Function Income7080RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1447CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses52FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-52TotalRevenueColumn
Exclusion-$52ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11561037TotalRevenueColumn
Related Or Exempt Function Income10452911RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$553ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total111004Total
Program Services99904ProgramServices
Management And General11100ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5606074Total
Program Services4933345ProgramServices
Management And General672729ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total135640Total
Program Services119363ProgramServices
Management And General16277ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total560362Total
Program Services493119ProgramServices
Management And General67243ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total494412Total
Program Services435083ProgramServices
Management And General59329ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total979249Total
Management And General979249ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total7001Total
Management And General7001ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1953085Total
Program Services1953085ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total49399Total
Program Services49399ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total785282Total
Program Services785282ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total952885Total
Program Services952885ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total514182Total
Program Services514182ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total17370Total
Program Services17370ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total25713Total
Program Services25713ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total169546Total
Program Services169546ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total84359Total
Program Services84359ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
FOOD & BEVERAGE163899163899
REPAIRS & MAINTENENCE107208107208
Miscellaneous Expense2448724487
BAD DEBTS2039920399
Licenses, Fees, Permits78317831

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total12730Total
Program Services12730ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12782117Total
Program Services10969189ProgramServices
Management And General1812928ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY496144BOY
EOY391907EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY74540BOY
EOY83589EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2014745BOY
EOY2203507EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY47711BOY
EOY64826EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1349172LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec999723LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY443297BOY
EOY349449EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY97972BOY
EOY333690EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3174409BOY
EOY3426968EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY654961BOY
EOY880683EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY393551BOY
EOY723922EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY37465BOY
EOY30217EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1125661BOY
EOY1614184EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2211638BOY
EOY3249006EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY575639BOY
EOY-201185EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY387132BOY
EOY379147EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY962771BOY
EOY177962EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3174409BOY
EOY3426968EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1379504CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1886562CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1577647CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1375527CurrentTaxYearMinus1Year
Current Tax Year1107573CurrentTaxYear
Total7326813Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10745281CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12011067CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12920669CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11672507CurrentTaxYearMinus1Year
Current Tax Year10445831CurrentTaxYear
Total57795355Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12124785CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13897629CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14498316CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13048034CurrentTaxYearMinus1Year
Current Tax Year11553404CurrentTaxYear
Total65122168Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year38491CurrentTaxYear
Total38491Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year38491CurrentTaxYear
Total38491Total
FieldValueIRS element (for citing)
Public Support Total50965083677PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year77628CurrentTaxYearMinus1Year
Current Tax Year7685CurrentTaxYear
Total85313Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year77628CurrentTaxYearMinus1Year
Current Tax Year7685CurrentTaxYear
Total85313Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12124785CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13897629CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14498316CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13125662CurrentTaxYearMinus1Year
Current Tax Year11561089CurrentTaxYear
Total65207481Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99810PublicSupportPercentage509
Prior Year Support Percentage0.99880PriorYearSupportPercentage
Investment Income Percentage0.00130InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00120PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis58500OtherCostOrOtherBasis
Depreciation3900Depreciation
Book Value54600BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis109087OtherCostOrOtherBasis
Depreciation106303Depreciation
Book Value2784BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1181585OtherCostOrOtherBasis
Depreciation889520Depreciation
Book Value292065BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings349449TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Due from Affiliate78346
Due from Combined Affiliate255344
FieldValueIRS element (for citing)
Total Book Value Other Assets333690TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Due to Affiliates$721,576
Due to Combined Affiliates$628,918
Notes Payable Affiliates$263,690
FieldValueIRS element (for citing)
Total Of Amounts1614184TotalOfAmounts
Total Revenue11561037TotalRevenue
Total Expenses12782117TotalExpenses
Excess Or Deficit For Year-1221080ExcessOrDeficitForYear
Donated Services And Facilities436271DonatedServicesAndFacilities
Total Adjustments436271TotalAdjustments
Excess Or Deficit Per FS-784809ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt11990279TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities436271DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990436271RevenueNotRptdF990
Revenue Subtotal11554008RevenueSubtotal
Other Revenues Not Included7029OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt7029RevenueNotRptdOnFinStmt
Total Revenue Per Form99011561037TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12775088TotExpensesEtcAuditedFinclStmt
Other Expenses Included52OtherExpensesIncluded
Expenses Not Rptd F99052ExpensesNotRptdF990
Expenses Subtotal12775036ExpensesSubtotal
Other Expenses Not Included7081OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt7081ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012782117TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Part IV, Line 2b:The organization acts as a representative for their clients to maintain seperate accounts for their expenditures. A corresponding liability is maintained for the balance of these accounts.
Part X:The Entities are non-profit, Arizona corporations which have been granted certificates of exemption from the payment of federal and state income taxes under provisions of Section 501(c)(3) of the Internal Revenue Code. The Entities have adopted the provisions of FASB Accounting Standards Codifcation Topic ASC 740-10 (previously Financial Interpretation No. 48, Accounting for Uncertainty in Income Taxes), on June 1, 2009. The implementation of this standard had no impact on the financial statements. As of both the date of adoption, and as of June 30, 2010, the unrecognized tax benefit accrual was zero. The Entities will recognize future accrued interest and penalties related to unrecognized tax benefits in income tax expense if incurred. The Entities are no longer subject to Federal tax examinations by tax authorities for years before 2006 and state examinations for years before 2005.Description of Uncertain Tax Positions Under FIN 48:
Part XII, Line 4b - Other Adjustments:Gain on Sale of Assets not included in revenue on Financial Statements: 7081. FUNDRAISING EXPENSES: -52.
Part XIII, Line 2d - Other Adjustments:FUNDRAISING EXPENSES: 52.
Part XIII, Line 4b - Other Adjustments:Gain on sale af assets reducing expenses on financial statements: 7081.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Guy Mikkelsen
01570330179580216760959409890021615100
Linda Martin
01121300207360257750692506464017203000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferencePart IIIReturnReference
ExplanationSchedule J, Part II: Guy Mikkelsen is compensated by a related organization, Foundation for Senior Living, Inc., for services provided to Foundation for Senior Living, Inc. and related organizations as President and CEO. Schedule J, Part I, Question 3: Linda Martin and Carolyn Hill also serve in the role of providing oversight to FSL Programs. They are compensated by a related organization for their services provided to FSL Programs, Inc. and other related entities. FSL Programs, Inc. relied on the related organization for determining their compensation.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, Line 1b:The board members are not independent as they are compensated by Foundation for Senior Living (FSL) related organizations for their services provided to the FSL organization as a whole. Foundation for Senior Living has an independent board and they elect the board members for FSL Programs.
Form 990, Part VI, Section A, line 2Guy Mikkelsen, Linda Martin, Blanca Ruiz, David Paddison, John Hanson, Carrie Smith and Carolyn Hill have a business relationship. They serve as officers and directors for other related organizations.
Form 990, Part VI, Section A, line 3FSL Programs pays FSL Management, an affiliate, a management fee. These services include financial, human resources, and risk management oversight.
Form 990, Part VI, Section A, line 6The sole member of this organization is Foundation for Senior Living, Inc.
Form 990, Part VI, Section A, line 7aThe directors shall be appointed by the member of the organization. Directors may be removed at any time without cause by the Member.
Form 990, Part VI, Section A, line 8bFSL Programs does not have a committee with the authority to act on behalf of the governing body.
Form 990, Part VI, Section B, line 11The CFO of Foundation for Senior Living, Inc. (FSL) will review the return prior to being submitted to the governing board. The return will also be provided to the FSL Board of Directors, parent organization.
Form 990, Part VI, Section B, line 12Everyone on Boards or working for the Foundation and its Affiliates are covered under the policy. For Foundation, conflicts are determined at the FSL Board level. For Affiliate corporations, conflicts are determined either at the FSL Leadership Council level or the affiliate board level for both the Level at which determinations of whether a conflict exists are made and the level at which actual conflicts are reviewed. All potential conflicts of interest, regardless of how small or insignificant, are to be reported to the President of the Board of Directors (or Committee Chair) prior to engaging in a conflict of interest board or committee action. The President will ask the Board of Directors to make a decision as to whether the relationship is an appropriate one for FSL. The Board member declaring the conflict will have no vote on the matter. Moreover, the person having a conflict shall retire from the room in which the Board (or its Committee) is meeting and shall not participate in the final deliberation regarding the matter under consideration. However, the person shall be permitted to provide the Board or Committee with any and all relevant information prior to leaving the meeting.
Form 990, Part VI, Line 15a: The Top Management Official's compensation is approved by Guy Mikkelsen, President and CEO. Compensation studies are done to determine appropriate compensation for her level and role. Guy Mikkelsen is compensated by a related organization, Foundation for Senior Living, Inc. (FSL) for his services provided to FSL and its related organizations. His compensation is approved by the governing board of FSL. On an annual basis, they are provided with comparability data/compensation studies to determine his compensation. Other officers and directors are provided compensation from FSL and other related organizations for their services, beyond the governing board, provided to that entity and other related organizations. Their compensation is approved by Guy Mikkelsen, President and CEO. The organization is expanding the review by independent persons for the upcoming fiscal year. During the year, FSL and its related organizations used an independent consultant to perform a market study analysis on compensation across several industries.
Form 990, Part VI, Section C, line 19The organization's governing documents, conflict of interest policy and financial statements are available to the public upon request.
Form 990, Part VII, Section AThe following officers and directors serve Foundation for Senior Living, Inc. and all other related organizations the following hours per week. Guy Mikkelsen - 38 hours Carolyn Hill - 30 hours Blanca Ruiz - 35 hours John Hansen - 34 hours David Paddison - 34 hours Carrie Smith - 20 hours Linda Martin - 21 hours

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
Foundation for Senior Living Inc
1201 E Thomas RoadPhoenixAZ85014860298945Provide policy advice and guidance to its subsidiariesAZ501c37N/A
Foundation for Senior Adult Living Inc
1201 E Thomas RoadPhoenixAZ85014860462784Low-income housing and related services to the elderlyAZ501c39N/A
FSL Pathyways
1201 E Thomas RoadPhoenixAZ85014860748876Group Housing and behavioral health services to mentally impaired adultsAZ501c39N/A
FSL Home Improvements Inc
1201 E Thomas RoadPhoenixAZ85014383649930Rehabilitiation of homes for the benefit of FSL FacilitiesAZ501c39N/A
FSL Management
1201 E Thomas RoadPhoenixAZ85014860462786Management services to related Foundation for Senior Living organizationsAZ501c311, Type 1N/A
FSL Real Estate Services
1201 E Thomas RoadPhoenixAZ85014861006866Real estate development services to Foundation for Senior LivingAZ501c311, Type 1N/A
Payson Senior Living Inc
1201 E Thomas RoadPhoenixAZ85014860458284Low-income housing and related services to the elderlyAZ501c39N/A
FSL Christopher Properties Inc
1201 E Thomas RoadPhoenixAZ85014300506152Low-income housing and related services to the elderlyAZ501c39N/A
FSL Rural Development Inc
1201 E Thomas RoadPhoenixAZ85014860380470Low-income housing and related services to the elderlyAZ501c39N/A
St Claire Senior Living Inc
1201 E Thomas RoadPhoenixAZ85014753021717Low-income housing and related services to the elderly - in activeAZ501c39N/A

Form990 Schedule R Part III Form990ScheduleRPartIII (16 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
FSL Holding Properties LLC
1201 E Thomas RoadPhoenixAZ85014020605634Real Estate RentalAZN/A
FSL White Mountain Villas LP
1201 E Thomas RoadPhoenixAZ85014753233168Real Estate RentalAZN/A
FSL Ruby Heights Village LP
1201 E Thomas RoadPhoenixAZ85014753233177Real Estate RentalAZN/A
FSL Becket House Apartments LP
1201 E Thomas RoadPhoenixAZ85014205096899Real Estate RentalAZN/A
Roeser Senior Residences LLC
1201 E Thomas RoadPhoenixAZ85014861005141Real Estate RentalAZN/A
Mountain Village Seniors LLC
1201 E Thomas RoadPhoenixAZ85014830403683Real Estate RentalAZN/A
FSL Yuma Senior Terraces LP
1201 E Thomas RoadPhoenixAZ85014200844505Real Estate RentalAZN/A
FSL Esperanza Village LP
1201 E Thomas RoadPhoenixAZ85014200844462Real Estate RentalAZN/A
FSL Collins Court LP
1201 E Thomas RoadPhoenixAZ85014900646418Real Estate RentalAZN/A
FSL Gibson Garden Villas LP
1201 E Thomas RoadPhoenixAZ85014800439718Real Estate RentalAZN/A
FSL Seton VIllage LP
1201 E Thomas RoadPhoenixAZ85014800673263Real Estate RentalAZN/A
FSL Solar ONe LP
1201 E Thomas RoadPhoenixAZ85014800587023Real Estate RentalAZN/A
FSL Solar Three LP
1201 E Thomas RoadPhoenixAZ85014800673255real Estate RentalAZN/A
FSL Solar Two LP
1201 E Thomas RoadPhoenixAZ85014800673259real Estate RentalAZN/A
FSL St Francis Villas LP
1201 E Thomas RoadPhoenixAZ85014800439708real Estate RentalAZN/A
FSL St Peter PLace LP
1201 E Thomas RoadPhoenixAZ85014800559418real Estate RentalAZN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
Affordable Services for Seniors Inc
1201 E Thomas RoadPhoenixAZ85014710869419Rental Real EstateAZN/AC
FSL White Mountain Inc
1201 E Thomas RoadPhoenixAZ85014870796482Rental Real EstateAZN/AC
FSL Ruby Heights Inc
1201 E Thomas RoadPhoenixAZ85014870796484Rental Real EstateAZN/AC
FSL Mountain Village Inc
1201 E Thomas RoadPhoenixAZ85014201094637Rental Real EstateAZN/AC
FSL Roeser Village Inc
1201 E Thomas RoadPhoenixAZ85014860462785Management residential rentalAZN/AC
FSL Yuma Senior Terraces I Inc
1201 E Thomas RoadPhoenixAZ85014870796479Management residential rentalAZN/AC
FSL Collins Inc
1201 E Thomas RoadPhoenixAZ85014300506152Rental Real EstateAZN/AC
FSL Gibson Garden Inc
1201 E Thomas RoadPhoenixAZ85014800439678Rental Real EstateAZN/AC
FSL Seton Inc
1201 E Thomas RoadPhoenixAZ85014900646416Rental Real EstateAZN/AC
FSL Solar 1 Inc
1201 E Thomas RoadPhoenixAZ85014800587030rental Real EstateAZN/AC
FSL Solar 2 Inc
1201 E Thomas RoadPhoenixAZ85014900646941rental Real EstateAZN/AC
FSL Solar 3 Inc
1201 E Thomas RoadPhoenixAZ85014900646403rental Real EstateAZN/AC
FSL St Francis Inc
1201 E Thomas RoadPhoenixAZ85014800439674rental Real EstateAZN/AC
FSL St Peter Inc
1201 E Thomas RoadPhoenixAZ85014800559415rental Real EstateAZN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
foundation for Senior Living
O957437
Foundation for Senior Living
Q3110000
Foundation for Senior Living
R4494543
FSL Home Improvements
N57671
FSL Home Improvements
Q69915
FSL Management
L955177
FSL Management
Q65000
FSL Pathways
K354907
FSL HOLDING PROPERTIES
J119056

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